Age-related physiologic changes and perioperative management of elderly patients

Giovanni Gambassi, Giuseppe Ferdinando Colloca, Marco Santoro

Risultato della ricerca: Contributo in rivistaArticolo in rivista

39 Citazioni (Scopus)

Abstract

Aging itself only minimally increases operative risk, but with aging, there is an increase of the prevalence of chronic diseases and a progressive deterioration of organ function. Aging is associated with a progressive decrease in heart, lung and kidney performance. Under normal conditions, these physiologic changes do not produce any problems for the elderly, but when these patients are subjected to the stress of surgery or its complications, there may be inadequate functional reserve. It is very important to know age-related patho-physiological changes in order to be able to better evaluate elderly patients undergoing surgery, and to prevent and manage preoperative complications. In this review we try to identify and to describe the most frequent physiological changes in the elderly, how those impact pharmacodynamic and pharmacokinetic parameters, and how to assess and manage them.
Lingua originaleEnglish
pagine (da-a)124-130
Numero di pagine7
RivistaSurgical Oncology
Volume19
DOI
Stato di pubblicazionePubblicato - 2010

Keywords

  • Aged
  • Humans
  • Neoplasms
  • Perioperative Period

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